<form class="frm-contact" role="form" method="post" action="<?php echo base_url('lien-he/submit') ?>">
	<div class="input-group">
		<span class="input-group-addon"><span class="fa fa-user"></span></span>
                <input type="text" class="form-control" required="required" placeholder="Họ và Tên">
	</div>
	<div class="input-group">
		<span class="input-group-addon"><span class="fa fa-home"></span></span>
		<input type="text" class="form-control" placeholder="Địa chỉ" required="required">
	</div>
	<div class="input-group">
		<span class="input-group-addon"><span class="fa fa-phone"></span></span>
		<input type="text" class="form-control" placeholder="Điện thoại" required="required" onkeypress="return inputNumberOnly(event);">
	</div>
	<div class="input-group">
		<span class="input-group-addon"><span class="fa fa-envelope"></span></span>
		<input type="text" class="form-control" placeholder="Email" required="required">
	</div>
	<div class="input-group">
		<span class="input-group-addon"><span class="fa fa-bookmark"></span></span>
		<input type="text" class="form-control" placeholder="Tiêu đề" required="required">
	</div>
	<div class="input-group">
		<span class="input-group-addon"><span class="fa fa-pencil"></span></span>
		<textarea name="" class="form-control" placeholder="Nội dung" rows="5" required="required"></textarea>
	</div>
	<div class="option text-center">
		<button class="btn btn-success" type="submit"><i class="fa fa-send"></i> Gửi</button>
		<button class="btn btn-success" type="reset"><i class="fa fa-repeat"></i> Nhập lại</button>
	</div>
</form>